A nurse is preparing to administer hydralazine to a client with severe pre-eclampsia who has a blood pressure of 170/110 mmHg.

What is the expected outcome of this medication?

To prevent seizures

To lower blood pressure

To increase urine output

To improve placental perfusion

Answer and Explanation

The Correct Answer is B

To lower blood pressure. Hydralazine is an antihypertensive drug that is used to treat severe hypertension in pre-eclampsia. It works by relaxing the blood vessels and reducing the resistance to blood flow.

This helps to lower the blood pressure and prevent complications such as stroke, kidney damage, or placental abruption.

Choice A is wrong because hydralazine does not prevent seizures.

Seizures are a symptom of eclampsia, a more severe form of pre-eclampsia. To prevent seizures, magnesium sulfate is usually given intravenously.

Choice C is wrong because hydralazine does not increase urine output. In fact, it may cause fluid retention and edema as a side effect. Diuretics are drugs that increase urine output, but they are not recommended for pre-eclampsia because they may worsen the condition by reducing blood volume and placental perfusion.

Choice D is wrong because hydralazine does not improve placental perfusion.

Placental perfusion is the blood flow to the placenta, which provides oxygen and nutrients to the fetus.

Placental perfusion may be impaired in pre-eclampsia due to abnormal development of the placental blood vessels. Hydralazine does not affect the placental blood vessels directly, but it may improve placental perfusion indirectly by lowering the maternal blood pressure and reducing the risk of abruption.

However, this is not the primary or expected outcome of hydralazine therapy.

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Correct Answer is A

Explanation

This is because HELLP syndrome is a complication of pregnancy that affects the liver and blood clotting.It can cause liver damage, bleeding problems, and high blood pressure.Epigastric pain or right upper quadrant pain is a sign of liver injury or rupture.

HELLP Syndrome Flashcards | Quizlet

Choice B is wrong because blurred vision or flashes of light are symptoms of preeclampsia, not HELLP syndrome.

Preeclampsia is a condition that causes high blood pressure and protein in the urine during pregnancy.It can lead to HELLP syndrome, but not all women with preeclampsia develop HELLP syndrome.

Choice C is wrong because decreased urinary output or oliguria are also symptoms of preeclampsia, not HELLP syndrome.

Oliguria means producing less than 400 mL of urine in 24 hours.It can indicate kidney damage or failure due to high blood pressure or proteinuria.

Choice D is wrong because hyperreflexia or clonus are also symptoms of preeclampsia, not HELLP syndrome.

Hyperreflexia means having exaggerated reflexes, while clonus means having involuntary muscle spasms.

They can indicate nervous system involvement or seizures due to high

A. Serum creatinine 1.4 mg/dL B. Aspartate aminotransferase (AST) 80 U/L C. Alanine aminotransferase (ALT) 90 U/L D. Lactate dehydrogenase (LDH) 500 U/L E. Platelet count 120 x 10^9/L

Correct Answer is ["B","C","D"]

Explanation

The correct answer is choice B, C and D. These results indicate hepatic involvement because they are elevated above the normal ranges.According to, the normal ranges for AST, ALT and LDH are:

• AST: 8 to 48 U/L

• ALT: 7 to 55 U/L

• LDH: 122 to 222 U/L

Choice A is wrong because serum creatinine is not a marker of liver function, but of kidney function.The normal range for serum creatinine is 0.6 to 1.3 mg/dL for adults.

Choice E is wrong because platelet count is not a marker of liver function, but of blood clotting ability.The normal range for platelet count is 150 to 450 x 10^9/L.

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A nurse is preparing to administer hydralazine to a client with severe pre-eclampsia who has a blood pressure of 170/110 mmHg. What is the expected outcome of this medication?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a client with pre-eclampsia who is receiving oxytocin for labor induction. Which finding would alert the nurse to suspect that the client is developing HELLP syndrome?

Correct Answer is A

Explanation

A nurse is reviewing the laboratory results of a client with severe pre-eclampsia. Which of the following results would indicate hepatic involvement? (Select all that apply.)

Correct Answer is ["B","C","D"]

Explanation

A nurse is preparing to administer hydralazine to a client with pre-eclampsia who has a blood pressure of 180/110 mmHg. What is the rationale for using this medication?

A nurse is reviewing the laboratory results of a client who has mild preeclampsia. Which of the following findings would indicate a need for further evaluation?

A nurse is caring for a client with mild pre-eclampsia who has a blood pressure of 150/95 mmHg, proteinuria of 400 mg/24 hours, and edema of the face and hands. Which intervention is the priority for this client?

A client who is 36 weeks pregnant is admitted to the hospital with a diagnosis of eclampsia. She has a history of chronic hypertension and gestational diabetes. The nurse anticipates that the client will receive which of the following medications to prevent seizures?

A nurse is caring for a client with mild pre-eclampsia who has a blood pressure of 150/95 mmHg, proteinuria of 400 mg/24 hours, and edema of the face and hands. Which intervention is the priority for this client?

(Select all that apply) A nurse is assessing a client who is 32 weeks pregnant and has a diagnosis of severe preeclampsia. Which of the following findings should the nurse report to the provider immediately?

A nurse is educating a client with mild pre-eclampsia about the signs and symptoms that she should report to her health care provider. Which of the following should the nurse include? (Select all that apply.)

A nurse is providing discharge teaching to a client who had preeclampsia and delivered a healthy baby at 38 weeks of gestation. Which of the following instructions should the nurse include in the teaching?

A nurse is preparing to administer hydralazine to a client with severe pre-eclampsia who has a blood pressure of 170/110 mmHg.

What is the expected outcome of this medication?